# KIMBERLY A BRUNE SHRUM

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1760798508
- **Gender:** F
- **Credential:** NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9353850 | FL | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2010016428 | MO | — |
| 363LA2200X | Adult Health Nurse Practitioner | 2019001247 | MO | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | 209.008308 | IL | — |

## Other

- **Enumeration date:** 08/30/2010
- **Last updated:** 03/19/2019